Advanced Endoscopist @SIUHospital @NorthwellHealth
New York, USA
Joined November 2012
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Jean Chalhoub retweeted
Our recent SRMA suggests we overtreat pancreatic cysts
Of all global resections for pancreatic cysts, 24% are IPMNs with LGD, 16% are serous cystadenomas, and 4% other benign cysts
How to reduce this? For now, adding nCLE and molecular analysis to EUS
doi.org/10.1002/ueg2.70145
pubmed.ncbi.nlm.nih.gov/4128…
Our SRMA shows that 1/4 of PCLs are pre-operatively misclassified and ∼44% are surgically resected for benign cysts. Implementation of advanced diagnostic tools might improve pre-operative classification and reduce overtreatment.
@jorgemachicado
Jean Chalhoub retweeted
Grateful to have started my Advanced Endoscopy Fellowship with a wide variety of complex cases and the privilege of learning from the masters, @shandrawes , @Jean_Chalhoub and#Douaihy. Looking forward to a year full of growth, and learning. @NYSGE @ASGEendoscopy @NorthwellHealth
Jean Chalhoub retweeted
🎓 Big congrats to our Advanced Endoscopy Fellow, @Dr_VishnuKumar , on his graduation! Your dedication, skill & growth this year were truly impressive. We’re proud of all you’ve achieved & can’t wait to see what’s next. 👏 #FellowshipGraduation #AdvancedEndoscopy
@NorthwellHealth
@SIUHOSPITAL
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Jean Chalhoub retweeted
Grateful to the adv endo team @SIUHOSPITAL (#eldouiahy, #almoussawi, @Jean_Chalhoub) lead by @shandrawes for teaching us different mucosal resection techniques
Patient was found to have cecal 5cm LST removed via under water EMR and AC 4 cm LST removed via conventional EMR
@NYSGE
Jean Chalhoub retweeted
Stories like the Israeli commander breaking the bones of a 4 year old Palestinian child with bare hands, are a confirmation that not only the Israeli army is ROTTEN to the core, but so are all governments that allow these sickening crimes to be normalized.
"The encounter with such dangerous attitudes, which has become more normal in our society, was traumatic for me ... I discharged myself from reserve duty with a psychiatrist's help," said a female reservist who served at the Sde Teiman detention facility
haaretz.com/opinion/2024-12-…
Jean Chalhoub retweeted
What should we do if ERCP fails? Let’s look into the role of EUS in management of biliary tract disorders!! @GIE_Journal @EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
Pawa et al present the "ASGE guideline on the role of therapeutic EUS in the management of biliary tract disorders." giejournal.org/article/S0016…
@EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
@yaransarkis
Jean Chalhoub retweeted
Pawa et al present the "ASGE guideline on the role of therapeutic EUS in the management of biliary tract disorders." giejournal.org/article/S0016…
@EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
@yaransarkis
Jean Chalhoub retweeted
Drs Bashar Qumseya, Swati Pawa, Nikhil Thiruvengadam, and Neil Marya discuss “ASGE guideline on the role of therapeutic EUS in management of biliary tract disorders." youtu.be/ddDuQM-f0gU
@wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
Overcoming an unstable scope position and a challenging major papilla with SpyBite manipulation #GITwitter #ERCP @ASGEendoscopy @Dr_VishnuKumar
Jean Chalhoub retweeted
New @ASGEendoscopy guidelines on pancreas mass
☝️EUS sampling: FNB > FNA; 22G > other; Franseen or Forktip > other designs
✋No need for routine ROSE
👉Biliary stent: metal > plastic; fully covered > uncovered
👇Celiac neurolysis: adjunct to analgesics if pain is refractory
@ASGEendoscopy Guideline role of endoscopy in the diagnosis and management of solid pancreatic masses- 2024
Reference: @jorgemachicado et al - @GIE_Journal 2024
DOI: 10.1016/j.gie.2024.06.003
📺youtu.be/BEehpXtCwr4
@EndoCollabcom @ESGE_news @DHgua @EndoscopiaH @KMonkemuller
Jean Chalhoub retweeted
Drs Jean M. Chalhoub and Jorge D. Machicado discuss their article, “Effect of the number of passes on diagnostic performance of EUS fine-needle biopsy of solid pancreatic masses." youtu.be/n3zxfhjxhz8
#GITwitter #GIEJournal
@jorgemachicado @Jean_Chalhoub
Jean Chalhoub retweeted
In Articles in Press: "ASGE guideline on the role of therapeutic EUS in the management of biliary tract disorders" by Swati Pawa et al. giejournal.org/article/S0016…
@EndoTx @wasabidoc @Jean_Chalhoub @NayantaraCoelho @jorgemachicado @iGUT_Houston @Bashar_Qumseya
Jean Chalhoub retweeted
Chalhoub et al describe the "Effect of the number of passes on diagnostic performance of EUS fine-needle biopsy of solid pancreatic masses: a systematic review and meta-analysis." giejournal.org/article/S0016…
#GITwitter #GIEJournal
@jorgemachicado @Jean_Chalhoub
@Stentingwoman
Excellent deployment (& troubleshooting) 😅 by @Dr_VishnuKumar !
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Our recent article in GIE. Proud to be part of this stellar team!
Check out our new @GIE_Journal paper
👉How many passes should we do when sampling solid pancreas masses with FNB and no ROSE?
☝️MA of 19 RCTs, 3552 pts
2⃣ passes if using Franseen or Fork-tip FNB (87% accuracy)
3⃣ passes if using other FNB needles
No > benefits with > passes